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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) <br /> V. TANK SECONDARY CONTAINMENT INFORMATION <br /> Manufacturer I Identify Tank ID from Section III for each Manufacturer <br /> Total Containment/Jacketed Dould A x❑ I B ❑ I C ❑ D ❑ <br /> A ❑ I B ❑ I C ❑ I D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> N Industry Code or Engineering Standard (Specify) : PEI / RP900/Steel Tank/-6 " Hg . 1 Hour <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Tank Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> Tank is a 20K Triple Compartment, split 10K 87 , 5K 87 , & 5K Diesel . Single Tank Secondary Containment. <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer <br /> Smith Fibercast FRP A x❑ I B ❑x c 0 D ❑ <br /> A ❑ I B ❑ I C ❑ D ❑ <br /> Test Method Used : ❑ Manufacturer Guidelines (Specify) : <br /> 0 Industry Code or Engineering Standard (Specify) : PEI / RP900/ Fiberg lass Pipe/5 PSI 1 hour <br /> ❑ Engineered Method (Specify): <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications) Expiration Date <br /> Interstitial Communication Verification Method Used : <br /> Release pressure at end of Piping Run by loosing clamp on Test/Seal off Boots at UDC' s when applicable . <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> It is not alway possible to verify Test Pressure continuity when Test/Seal Off Boots at UDC's cannot be reached to loosen <br /> clamps . Some UDC's have bottom Penetrations for the Piping and have no access to the Secondary portion of the Piping <br /> to allow verification of continuity without breeching the integrity of the sealed system at the UDC end of the Piping Run . <br /> f <br /> i <br /> ID = Identification <br />